尼日利亚阿布贾终末期肾病患者血液透析的成本效益分析。

IF 2.7 3区 经济学 Q1 ECONOMICS
Yakubu Adole Agada-Amade, Daniel Chukwuemeka Ogbuabor, Eric Obikeze, Ejemai Eboreime, Obinna Emmanuel Onwujekwe
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引用次数: 0

摘要

背景:包括尼日利亚在内的中低收入国家在血液透析的成本效益分析方面存在巨大的学术空白。因此,本研究评估了血液透析与全面保守治疗(CCC)相比的成本效益,以确定血液透析在尼日利亚是否具有社会价值,是否有理由获得公共资助:研究地点:尼日利亚阿布贾。研究采用混合方法设计,包括收集原始数据和分析以往研究的二手数据。我们采用了基于成分的成本计算方法。血液透析的平均成本和效益来自以往的研究。CCC 的平均成本和效益来自一项横断面初步调查。我们估算了效益成本比(BCR)和净效益,以确定两种干预措施的社会价值:结果:血液透析的净收益(2,251.30)为正,而 CCC 的净收益(-1,197.19)为负。血液透析的效益成本比为 1.09,而 CCC 的效益成本比为 0.66。概率分析和单向敏感性分析结果表明,血液透析的成本效益高于 CCC,而且在大多数情况下,血液透析的 BCR 仍高于 1,这与 CCC 的 BCR 不同:结论:血液透析的益处大于其成本,对社会而言具有成本效益,因此有理由获得公共资助。然而,国家医疗保险局需要进行更多的研究,如预算影响分析,以确定全面覆盖血液透析的可负担性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cost-benefit analysis of haemodialysis in patients with end-stage kidney disease in Abuja, Nigeria.

Background: Significant gaps in scholarship on the cost-benefit analysis of haemodialysis exist in low-middle-income countries, including Nigeria. The study, therefore, assessed the cost-benefit of haemodialysis compared with comprehensive conservative care (CCC) to determine if haemodialysis is socially worthwhile and justifies public funding in Nigeria.

Methods: The study setting is Abuja, Nigeria. The study used a mixed-method design involving primary data collection and analysis of secondary data from previous studies. We adopted an ingredient-based costing approach. The mean costs and benefits of haemodialysis were derived from previous studies. The mean costs and benefits of CCC were obtained from a primary cross-sectional survey. We estimated the benefit-cost ratios (BCR) and net benefits to determine the social value of the two interventions.

Results: The net benefit of haemodialysis (2,251.30) was positive, while that of CCC was negative (-1,197.19). The benefit-cost ratio of haemodialysis was 1.09, while that of CCC was 0.66. The probabilistic and one-way sensitivity analyses results demonstrate that haemodialysis was more cost-beneficial than CCC, and the BCRs of haemodialysis remained above one in most scenarios, unlike CCC's BCR.

Conclusion: The benefit of haemodialysis outweighs its cost, making it cost-beneficial to society and justifying public funding. However, the National Health Insurance Authority requires additional studies, such as budget impact analysis, to establish the affordability of full coverage of haemodialysis.

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来源期刊
CiteScore
3.90
自引率
4.20%
发文量
59
审稿时长
13 weeks
期刊介绍: Health Economics Review is an international high-quality journal covering all fields of Health Economics. A broad range of theoretical contributions, empirical studies and analyses of health policy with a health economic focus will be considered for publication. Its scope includes macro- and microeconomics of health care financing, health insurance and reimbursement as well as health economic evaluation, health services research and health policy analysis. Further research topics are the individual and institutional aspects of health care management and the growing importance of health care in developing countries.
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